tirzepatide cycle can effectively treat T2D via multiple mechanisms. For Men before and after tirzepatide:

Therefore, it was considered that there are at least three possible pathways for the activation of sympathetic preganglionic neurons by exendin-4 under the present experimental conditions: a direct postsynaptic effect, an indirect effect via interneurons in the spinal cord, and descending excitation by bulbospinal (presympathetic) C1 area neurons in the medulla

Ozempic's price reflects FDA approval costs, extensive clinical trial investment, GMP manufacturing, cold-chain distribution, and the patented pen delivery device

They are created by expert pharmacists to optimize absorption and target the affected area

doi: 10.1016/j.bbrc.2017.06.031 63 SammsRJCoghlanMPSloopKW

So treatment doesn't change much, but psychologically it may be different